BILL ANALYSIS                                                                                                                                                                                                    
                                                                      SB 933 
                                                                     Page 1

Date of Hearing: July 1, 1998

                     ASSEMBLY COMMITTEE ON HUMAN SERVICES
                              Dion Aroner, Chair

                 SB 933 (Thompson) - As Proposed to be Amended

  SENATE VOTE  :  36-2

  SUBJECT  :  Child welfare services

  SUMMARY  :  Modifies the child welfare services system.  

Specifically,  this bill  : 


  Assessment process  :
    
1)  Eliminates the requirement that the State Department of Social Services  
    (DSS) develop and implement a level of care assessment by July 1, 1994.

2)  States legislative findings that assessments that build on the strength of  
    the child and family and identify desired outcomes are critical in the  
    development of appropriate caseplans; that the safety, stability and  
    permanence of families are of paramount importance for children; and that  
    the use of multidisciplinary teams has proven to improve the assessment,  
    case planning and delivery of services to children and families.  

3)  Requires DSS to collaborate with county placing agencies, consumers,  
    mental health providers and other interested parties, and by April 1,  
    1999, develop and distribute a report to county placing agencies with  
    guidelines on the best practices for assessing children and families  
    receiving foster care and child welfare services. 

4)  Specifies the type of information to be included in the assessment and  
    requires DSS to develop a pilot to test the effectiveness  and usability  
    of the guidelines. Requires DSS by September 1,1999, to solicit county  
    participation in the pilot program.
 
5)  Requires a report back to the Legislature on the status of the pilots,  
    including information on how the assessment instrument will be implemented  
    and how it will be incorporated into the Child Welfare Services Case  
    Management System.
 
6)  Requires DSS, in collaboration with county placing agencies, training  
    academies, and the California Center for Social Work Education to  
    integrate training and technical assistance on the family assessment  
    guidelines into the curriculum of the regional training academies.
 
 Comments:

1)  This bill eliminates the level of care assessment provisions required  
    under WIC 11467, and creates instead a pilot project intended to develop  










                                                                      SB 933  
                                                                     Page 2

    an assessment process or instrument that is determined "effective" and  
    "usable" by county placing agencies. 





























































                                                                      SB 933  
                                                                     Page 3

2)  The best practice protocols provided for in this bill are intended as  
    informal guidelines to be used by counties, pending completion of the  
    assessment pilots and adoption of a formal statewide assessment process.
    
  Assessments under Systems of Care : 

1)  Requires county mental health departments that receive full system of care  
    funding to provide mental health screening, assessment,  multidisciplinary  
    treatment teams, and specialty mental health treatment services for  
    children in group homes.  Requires counties to give first priority in  
    providing these services to children receiving psychoactive medication.  

2)  Requires the State Department of Mental Health (DMH) to estimate, by April  
    1, 1999, the resources available to meet the needs of children in group  
    care, out-of-home care and those at risk of placement in out-of-home care.  
     Requires the estimate to also identify resource gaps in the delivery of  
    specialty mental health services.  

3)  Requires DMH, DSS and the Judicial Council, with input from counties, to  
    develop a procedure for review of treatment plans for children receiving  
    psychoactive medication in out-of-home care.  Requires the procedure to be  
    developed by July 1, 1999. 

Comments:  

1)  The Assembly Budget Committee augmented Children's System of Care (SOC) by  
    $6 million to provide screening, assessments and interagency placement  
    review.  The county mental health directors estimate a cost of $22 million  
    to implement SOC statewide.

2)  AB 2598 (Aroner), heard by the Human Services Committee earlier this year,  
    establishes a statewide system of health care for children in foster care  
    and requires mental health assessments within 60 days of a child's  
    placement in out of home care.  In SOC counties this provision could fund  
    the requirement for the mental health assessment.    

  Suggested technical amendment  :

    On page 121, line 21, after "specialty mental" insert: health

  Identification of Out-of-Home-Care Resources  :

1)  Establishes county or regional coordinator positions on a pilot basis in  
    three counties to provide a link between community care licensing, foster  
    care rate setting, and placing agencies.  Requires the pilot projects to  
    address issues of confidentiality and potential restrictions on sharing of  
    information between service systems.

2)  States legislative intent to create an efficient and consumer-responsive  
    system to resolve placement or service delivery problems encountered by  
    children in the foster care system.

3)  Requires DSS to collaborate with county welfare departments, foster care  










                                                                      SB 933 
                                                                     Page 4

    consumers and providers, and  children's advocates to develop an 
independent ombudsman program designed to provide access to the resources  
necessary to resolve problems of children in out of home care; to receive 




























































                                                                      SB 933  
                                                                     Page 5

information regarding the provisions of health, education, and social  
services; and, to implement the ombudsman program by January 1, 2000.

Comments:  

1)  It is unclear what function the county or regional coordinator would  
    serve, and what problem would be addressed by instituting the pilot  
    projects.  It is also unclear how pilot areas would be selected. 

2)  The foster care ombudsman was one of the recommendations of the California  
    Youth Connection (CYC), an organization of current and former foster  
    youth.  CYC proposed an ombudsman for children in out-of-home care to call  
    when they were having any type of problem.  The language is vague  
    regarding the duties and role of the ombudsman. 

  Resource development  :

1)  Establishes the Youth Services Community Development Program (YSCDP) and  
    Youth Services Program Development Fund (YSPDF) within DSS, including a  
    technical support unit, in order to initiate a continuum of family  
    focused, case specific services for children who are at risk of becoming  
    wards of the court under WIC section 601 or 602, or who are under juvenile  
    court supervision or supervision of the juvenile probation department.

    a)  Establishes a multidisciplinary team including DSS, DMH and Board of  
        Corrections (BOC) to maintain oversight of the program, and issue  
        grants on a competitive basis.  

    b)  Requires the board of supervisors of any county receiving program  
        funds to establish a local planning council to meet and to advise the  
        chief probation officer in program planning and expenditure of funds;  
        and, prohibits the supplanting YSPDF funds.
    
    c)  Requires DSS to make recommendations to the Department of Finance as  
        to the level of funding to be included in the Governor's budget; and,  
        provides that federal funds are available to the state for program  
        development purposes through the YSPDF.

    d)  Requires an interdisciplinary service delivery approach and specifies  
        that programs or services shall be offered in a community-based  
        setting that addresses child and family needs, including services  
        provided in county operated residential care facilities.

    e)  Specifies that services provided in this section include mental health  
        assessment and counseling, family counseling and crisis intervention;  
        home detention, therapeutic day treatment, aftercare, case management,  
        shelter care, foster care, and residential group care.

2)  Establishes a program that allows DSS to waive regulations to encourage  
    innovative program design and service delivery at the local level.       

    a)  Declares legislative intent to support alternatives to group home care  
        through expanding family-based services, expanding group homes'  










                                                                      SB 933  
                                                                     Page 6

        capacity to provide services for the changing needs of children in 
their care, encouraging collaboration among county departments and service  
providers, and ensuring local community participation in the development of  
innovative service delivery programs.  

    b)  Allows counties to enter into agreements with private, nonprofit  
        agencies to encourage innovation in service delivery, to develop  
        services that are not currently available, and to promote change in  
        the child welfare services system.  Specifies that agreements are for  
        periods of up to three years.       

    c)  Requires participating counties and service providers to pursue  
        services that allow children to remain in the least restrictive, most  
        family-like setting possible and to promote services that address the  
        needs and strengths of children and their families.

    d)  Requires participating counties to submit a report to DSS within three  
        months of the end of the agreement.  The report must specify the  
        details of the agreement, the results achieved, and the applicability  
        of the approach to a wider population.  Requires DSS to make county  
        reports available to the Legislature upon request.    

    e)  In order to implement agreements, allows the director of DSS to waive  
        regulations governing foster care payments or the operation of group  
        homes when the following conditions exist:

        i)   The agreement offers a test of an innovative approach or  
             encourages the development of a new service.

        ii)  The regulatory requirement prevents the implementation of an  
             agreement.

        iii) The county agrees to monitor the agreement through performance  
             measures that ensure that the purposes of the waiver are  
             achieved.  
    
    f)  Requires DSS to attempt to maintain federal funds when granting  
        waivers.  Allows waivers to require a county match in the event  
        federal funds are lost.

    g)  Prohibits DSS from waiving regulations that apply to the health and  
        safety of children.  

    h)  Directs DSS to notify the policy and fiscal committees of the  
        Legislature when waivers are granted and to identify the reason for  
        the waiver.       
3)  Directs DSS to amend the foster care state plan to allow eligible children  
    up to age 21 to be served by the Independent Living Program.  

4)  Specifies that state and federal reimbursement for emergency shelter care  
    is available for 60 days.  Requires counties to report, by July 1, 1999  
    and annually thereafter, on the number of children, the ages of children,  
    and the circumstances that require stays of longer than 30 days in  










                                                                      SB 933  
                                                                     Page 7

    emergency shelter care.  Counties must also report on their efforts to 
develop additional resources to limit the length of stay in emergency shelter  
care.        

Comments:  

1)  Concerns have been raised over how the two program development funds fit  
    in with the program that allows for waivers of regulations.  Concerns have  
    also been raised as to how each of these programs encourage, impede or  
    coordinate with the re-examination of the role of group care within the  
    foster care system.  Negotiations are continuing on specific language to  
    ensure program coordination and collaboration and on the specific purpose  
    of the program development fund.

2)  The provisions that allow waivers of regulations is inconsistent.  In the  
    first sentence it allows counties and service providers to enter into  
    "contracts" but the rest of the language refers to "agreements."

  Suggested technical amendment  :  

    On page 148, line 26, strike "contracts" and insert:  agreements         

3)  AB 1724 (Richter) creates a pilot program to allow counties and service  
    providers to work outside of the existing rate structure in order to offer  
    innovative programs to at-risk children.  This bill is waiting to be heard  
    in the Senate Health and Human Services Committee.  The author may want to  
    consider amendments that incorporate the language or concepts of AB 1724  
    with the provisions that allow waivers of regulations.   

  Placement protocols and oversight  :

1)  Requires county social workers or probation officers to visit, at least  
    monthly, all children placed in group homes by county welfare departments  
    or county probation departments.  Requires the state to pay 100 percent of  
    the nonfederal costs associated with the monthly visits.  

2)  Requires DSS to convene a working group to develop protocols outlining the  
    roles and responsibilities of placing agencies and group homes regarding  
    placement of children in group homes.  Requires DSS to submit a report  
    containing sample protocols to the Legislature by March 1, 1999.   
    Specifies that model protocols at a minimum include:  health, mental  
    health and education information; orientation of the child and family to  
    the out of home care setting; county and provider responsibility in  
    ensuring that the child receives a timely assessment and appropriate court  
    review; exit and discharge data, and dispute resolution.

  Out-of-state placements  :  

1)  Requires DSS to develop a multi-disciplinary team to review and certify  
    out-of-state placements, within four months of the enactment of the bill.

2)  Requires county social service agencies and probation departments to  
    include language in any contract, MOU or agreement under the interstate  










                                                                      SB 933  
                                                                     Page 8

    compact that allows DSS to investigate any threat to the health and safety  
    of a child in placement, and to interview the child in private or review 
their files.

3)  Requires out-of-state residential facilities to meet California licensing  
standards.

4)  Prohibits the use of any public funds in a residential care facility that  
    fails to obtain or retain certification by DSS.

5)  Authorizes a probation officer to temporarily remove a minor from a  
    facility if, upon inspection, the officer determines that the facility or  
    program is not in compliance with the state's licensing standards or those  
    of the board of corrections for similar programs or facilities.

6)  Requires the court to review out of state court orders every six months. 

7)  Declares that DSS has authority to require the approval of a  
    multidisciplinary team before placing minors out-of-state.  

8)  Requires a review of out of state placements after July 1, 2001.

Comments:

1)  As of June 1998 California had over 880 probation wards placed out-of-  
    state in group home facilities.  The majority of these placements are  
    funded with Title IV-E federal foster care dollars, with a state and  
    county share of cost.  DSS currently has no provisions for licensing these  
    out of state facilities.  DSS has not established a foster-care rate for  
    out of state group home placements, and provides reimbursement at the  
    highest level of $5,013 per month. 

2)  The Assembly Budget Committee adopted the following measure:

    a)  Require DSS in conjunction with the Department of Mental Health and  
        probation Departments to develop standards for certification of out-of  
        state facilities by July 1, 1999.  
    
    b)  Prohibit foster care funding for out-of state placement of children  
        except in specific circumstances, including the placement with a  
        relative, placement with an adoptive family, placement pursuant to AB  
        3632, or other individual circumstances reviewed and approved by DSS.
 
    c)  Prohibit foster care funding for children residing in out-of state  
        facilities not meeting these requirements by January 1, 2000.

3)  The Program Development Fund identified elsewhere in this bill is intended  
    to develop local in-state placement capacity for probation wards currently  
    housed in facilities out of state.   
 
4)  The licensing and certification requirements are intended to provide  
    health and safety standards for California probation wards currently  
    housed in out of state facilities.  Youth advocates are concerned that  










                                                                      SB 933  
                                                                     Page 9

    these provisions will not provide adequate oversight.

5)  Some probation departments and judges using out of state facilities  
    indicate that the appeal of out of state facilities is the ability of  
    providers to physically restrain probation wards.  In California restraint  
    is only allowed in correctional type facilities.

6)  Current law requires court review of out of state placements annually.

7)   Proposed amendment  :  Prohibit any placements out-of-state after July 1,  
    2000, and allow for exceptions to be specified.

8)   Suggested technical amendments  :  Strike all references to 7911.1 and  
    insert:  7911

9)  The Judicial Council has requested the following amendments:  

    On page 11, line 11, strike "approval" and insert:  assessment and  
    recommendation

    On page 11, line 12, strike "placing" and insert:  placement of

  State oversight scheme  :

1)  Includes homes certified by foster family agencies in the types of  
    facilities for which someone can request an inspection by DSS' Community  
    Care Licensing Division.  Requires the substance of the complaint to be  
    given to the home and the foster family agency at the time of the  
    inspection.  Requires DSS to begin complaint inspections of certified  
    family homes upon the employment of personnel, but no later than June 30,  
    1999.  Requires DSS to notify all licensed foster family agencies when the  
    inspection process begins.   

2)  Requires applicants for a group home license, once they have satisfied all  
    other requirements for licensure, to operate with a provisional license  
    during the first 12 months of operation.  

    a)  Requires DSS to review the facility for compliance with laws and  
        regulations and help develop a plan of correction after 8 months of  
        operation.  Requires DSS to determine whether the provisional license  
        should be made permanent after 12 months.  

    b)  Allows DSS to extend the provisional license for up to 6 additional  
        months if the group home requires additional time to be in full  
        compliance with licensing standards or if, after 12 months of  
        operation, the facility is operating at less than 50 percent of its  
        capacity.  Requires DSS to review the facility after 16 months of  
        operation to determine whether the provisional license should be made  
        permanent.  

    c)  Clarifies that DSS may deny a group home license application at any  
        time during the term of the provisional license.  If the application  
        is denied, the group home must cease operation immediately.  










                                                                      SB 933  
                                                                     Page 10


    d)  Requires DSS to describe the provisional licensing process and provide  
        the name, address, and telephone number of the district licensing 
office as part of its notification to the city or county planning authority.

    e)  Requires DSS to adopt emergency regulations to implement these  
        provisions.     

3)  Requires DSS to establish and preside over a community care facility law  
    enforcement task force.  

    a)  Requires the task force, by January 1, 1999, to make recommendations  
    to the Legislature regarding specific statutory and regulatory changes to  
    permit criminal prosecution of, and recovery of public funds from,  
    individuals associated with licensed facilities who are involved in  
    illegal activities surrounding funds paid for the care of individuals in  
    community care facilities.  

    b)  Requires the task force to make recommendations regarding the duties  
    of the Fraud Investigation Unit established by the Budget Act of 1998. 

    c)  Requires the task force to evaluate the consequences of their  
    recommendations on group home providers who do not engage in illegal  
    activities.  

    d)  Specifies that the task force must include representatives of DSS,  
        DOJ, law enforcement officers, probation and welfare workers, district  
        attorneys, providers and current or former foster youth.

4)  Requires training of group home and foster family agency licensing  
    personnel to include a minimum of 24 hours training annually on the unique  
    needs of children in group homes and foster family homes.

5)  Allows DSS to interview children who are clients of group homes at any  
    public or private agency including a juvenile hall, a recreational or  
    vocational program, or a nonpublic school.  Requires DSS to respect the  
    rights of the child while conducting the interview and to inform the child  
    that he or she has the right not to be interviewed and to have another  
    adult present during the interview.  

6)  Adds DSS to Penal Code provisions regarding child protective agency  
    authority to interview children who are suspected victims of child abuse.   
    Adds the out-of-home care facility to the settings in which the alleged  
    abuse occurred.  

7)  Allows DSS or its designee to review juvenile court documents when the  
    review pertains to the state's role in oversight of the care and  
    supervision of children in foster care.

8)  Establishes a provisional ratesetting system whereby a group home program  
    will receive a provisional rate for no longer than the first thirteen  
    months of operation based on the level of care and services the program  
    proposes it will provide.










                                                                      SB 933  
                                                                     Page 11
































































                                                                      SB 933  
                                                                     Page 12

    a)  Requires determination of the rate classification level (RCL or  
        permanent rate) based on a program audit that verifies the program  
        provided the level of care and services proposed.  The audit must  
        cover at least the preceding 60 days.
    
    b)  Specifies that group home programs are eligible to receive only the  
        RCL determined by DSS during any appeal of the department's RCL  
        determinations.  

    c)  Requires DSS to adopt emergency regulations to implement this section.

9)  Requires group home financial records submitted to DSS, including time  
    cards and time sheets, to be signed and dated by the employee and by the  
    staff person responsible for ensuring the accuracy of the record.  
10) Prohibits group home or foster family agency licensees, employees, members  
    of the board of directors, and officers from offering gifts or other  
    remuneration to employees of DSS or placement agencies that exceed the  
    monetary limits for gifts to employees of the State of California adopted  
    by the Fair Political Practices Commission.
 
    a)  Prohibits employees of DSS or placement agencies from accepting gifts  
        or remuneration of any type from providers as identified above.  
 
    b)  Declares that violations of this section are a misdemeanor.
 
    c)  Requests that the Judicial Council study whether the California Code  
        of Judicial Ethics should be amended to further limit or bar gifts  
        from group home facilities, and foster family agencies to judicial  
        officers and employees of the court and to report findings to the  
        Legislature by July 1, 1999.
  
Comments:  

1)  It is unclear when DSS is supposed to review a facility that is operating  
    with an extended provisional license.  

     Suggested amendment  :  On page 13, line 37 amend to read: "By no later than  
    the first day of the 17th" 

2)  Concerns have been raised that the community care facility law enforcement  
    task force does not include public defenders.

3)  There may be consequences of the recommendations on community care  
    facilities other than group homes.  The author may want to consider  
    evaluating these potentially unintended effects.  

    Suggested amendment:  On page 152, line 18 strike "group home" and insert:  
     community care facility

4)  The Code of Judicial Ethics establishes standards for ethical conduct of  
    judges on and off the bench.  Canon 2 requires that a judge avoid  
        impropriety and the appearance of impropriety in all activities.  Cannon 4  
    requires that a judge conduct quasi-judicial and extra-judicial activities  










                                                                      SB 933  
                                                                     Page 13


to minimize the risk of conflict with judicial obligations.  Judicial Council  
is investigating methods of strengthening existing cannons in order to better  
guard against conflicts of interest.



























































                                                                      SB 933  
                                                                     Page 14

5)  It is unclear whether the requirement for licensing personnel to have 24  
    hours training per year is in addition to current requirements.  Providers  
    have also expressed concerns that the training topics should specifically  
    include the emotional and developmental characteristics of children in  
    out-of-home care.

  Quality Assurance within group homes and other community care facilities  :

1)  Expands criminal background clearance requirements, to include FBI checks,  
    for all licensed community care facilities, including residential  
    facilities for children and adults, day treatment programs, adult day  
    care, foster family agencies, foster family homes, small family homes,  
    social rehabilitation facilities, community treatment facilities,  
    residential care facilities for the elderly and for the chronically ill,  
    and all licensed day care homes and facilities.

    a)  Requires applicants for licensure, all adults responsible for  
        administration and supervision of staff, all persons other than  
        clients residing in a facility, all persons who provide personal care  
        to residents or clients, and all staff and volunteers who have contact  
        with  clients to submit a set of fingerprints to the Department of  
        Justice to be sent to the FBI for a background check.  This is in  
        addition to the fingerprints currently required to be submitted for a  
        California criminal clearance by DOJ.  

    b)  Requires all individuals required to obtain a background check to  
        submit their fingerprints prior to their employment or initial  
        presence in the facility.

    c)  Authorizes DSS to create, by adopting emergency regulations, a  
        substitute employee registry for providers to have available a list of  
        individuals who have current clearances.

    d)  Allows DSS to issue licenses to applicants who meet all other  
        requirements but are awaiting the FBI results, as long as the  
        applicant and others required to submit fingerprints sign a statement  
        that the individual has never been convicted of a crime in the United  
        States, other than a traffic infraction.  Allows DSS to revoke or  
        suspend the license if it determines that the licensee or other  
        individual affiliated with the facility has a criminal record.

    e)  Establishes a civil penalty for licensees of $100 per violation for  
        failure to submit required fingerprints, and permits DSS to assess  
        further civil penalties for continued violations.

    f)  Requires licensees to maintain documentation of fingerprint clearances  
        or exemptions at the facility.  

    g)  Shortens the required turn-around time from 30 to 14 days for DOJ to  
        response to a clearance request.

    h)  Requires DOJ to report to the Legislature by February 15, 1998 on  
        completion of the backlogged criminal clearance requests. 










                                                                      SB 933  
                                                                     Page 15


    i)  Requires DOJ to implement an automated live-scan fingerprint  
        processing system in all CCL district offices by July 1, 1999.

    j)  Requires DSS to promulgate emergency regulations regarding use of live  
        scan technology.  At the time the technology is operational in the CCL  
        district offices, requires DOJ to ascertain the criminal history  
        information within three working days, and requires all individuals to  
        have a California criminal clearance prior to their initial presence  
        in a community care facility.  If DOJ cannot ascertain the criminal  
        history information within three days, requires DOJ to notify DSS or  
        county licensing agencies of that fact.  

    k)  Specifies that changes to the criminal background sections must be  
        implemented 60 days after the effective date of this bill, except  
        provisions requiring submission of fingerprints to the FBI, which  
        shall be implemented January 1, 1999.    
  
2)  Establishes a certification program for group home facility administrators  
    modeled after the certification program for administrators of adult  
    residential facilities.  
 
    a)  Allows the program to be paid for out of the Certification Fund.   
        Appropriates $250,000 for the 98-99 fiscal year to the Fund and  
        requires DSS to repay the appropriation out of fees collected in the  
        administration of the program.  

    b)  Requires group home facility administrators to complete a DSS approved  
        certification program prior to employment.

    c)  Requires existing facility administrators to be certified within  
        twelve months of the effective date of the bill.

    d)  Declares that anyone who misrepresents himself or herself as a  
        certified administrator of a group home facility is guilty of a  
        misdemeanor.

    e)  Requires renewal of the certificate every two years.  Renewal is  
        conditioned upon the certificate holder's completion of 40 hours of  
        continuing education on topics related to group home administration.    
         Allows community college course hours approved by regional centers to  
        satisfy the certification requirements of DSS.  Requires all group  
        home facility administrators to complete continuing education  
        requirements.

    f)  Requires administrators to pay a fee of $100 for certification and  
        subsequent renewal.  

    g)  Requires group home facility administrators to be at least 21 years  
        old.  

    h)  Requires the State Directors of Social Services, Mental Health and  
        Developmental Services, in consultation and collaboration with county  










                                                                      SB 933  
                                                                     Page 16

        placement officials and provider organizations, to establish a  
        certification program to authorized individuals, organizations, or 
educational institutions to conduct certification training programs or  
continuing education courses.    

    i)  Requires DSS to establish a registry of certified group home program  
        administrators that includes, at a minimum, information on employment  
        status and criminal record clearance.

    j)  Requires DSS to adopt emergency regulations to implement the  
        administrator certification program.  

3)  Requires group home providers, in order to receive a rate, to schedule and  
    conduct board meetings at least quarterly in order to review documents  
    including licensing reports, special incident reports, and notices of  
    administrative action against the licensee or its employees.  Requires  
    group home providers to make minutes of board meetings available to DSS.
 
    a)  Requires DSS and DOJ, in consultation with group home providers, to  
        develop and distribute to group home providers information on the  
        roles and responsibilities of board members including financial  
        responsibilities, disclosure requirements, legal requirements and an  
        overview of the laws and regulations governing group homes.  Requires  
        group home board members, as a condition to receiving a rate for the  
        program, to sign a form indicating that they have read and understood  
        the information.  
  
    b)  Requires facility operators to give inspection reports to all board  
        members, parents, legal guardians, conservators, client's rights  
        advocates, or placement agencies under specified circumstances. 

4)  Requires group homes to make copies of all licensing reports issued within  
    the past three years available for inspection by placement officials,  
    clients, and clients family members.

5)  For all licensed community care facilities including residential  
    facilities for children and adults, day treatment programs, adult day  
    care, foster family agencies, foster family homes, small family homes,  
    social rehabilitation facilities, community treatment facilities,  
    residential care facilities for the elderly and chronically ill, and all  
    licensed day care homes and facilities:  

    a)  Requires corporations applying for licensure as a community care  
        facility to notify DSS of any other facilities that board members have  
        operated, been employed in, or served in as board members.  

    b)  Allows DSS to deny or revoke a provisional or permanent license from  
        corporate applicants that have board members who were excluded from  
        another facility.      

    c)  Clarifies that violations that exclude a person from a facility also  
        apply to board members.











                                                                      SB 933  
                                                                     Page 17

    d)  Clarifies that a provider whose license was revoked or denied within  
        the past two years is prohibited from serving on the board of  
        directors of any licensed facility.     

    e)  Adds financial malfeasance in the operation of a facility to the list  
        of violations that result in someone being excluded from a facility  
        and that lead to a suspension or revocation of a license.  

    f)  Specifies that prior to taking action, DSS must notify the applicant  
        or licensee of the person's ineligibility to serve on the board and  
        give the applicant or licensee 15 days to remove the person from his  
        or her position.

6)  Declares legislative intent that group homes either include specified  
    representatives on their boards of directors or establish community  
    advisory boards.  The representatives on either the board or community  
    advisory board should include, a member of the board of directors, members  
    of the community where the facility is located, neighbors, current or  
    former clients, and a representative of the local law enforcement agency  
    or other city or county representative.  

7)  Requires DSS, in consultation and collaboration with county placement  
    officials, provider organizations, the Department of Mental Health (DMH),  
    and the Department of Developmental Services (DDS) to adopt emergency  
    regulations to establish standardized training and continuing education  
    curricula for facility managers and direct child care workers in group  
    homes.  Requires the regulations to specify the date by which new and  
    current employees are required to meet the requirements.  Requires DSS to  
    provide adequate time for current staff to meet the requirements.  

8)  Requires group homes providers to state in the group home's plan of  
    operation, the number of hours per week that the facility's administrator  
    will spend completing his or her duties and how those duties will be  
    accomplished.  

    a)  For current licensees, requires an amended plan of operation to be  
        submitted to DSS within six months of the effective date of this bill.  
         For new applicants, the information must be included in the plan of  
        operation that is submitted with the application.  

    b)  Allows DSS to review a group home's plan of operation to determine  
        whether it ensures that the facility will operate in compliance with  
        licensing laws and regulations.  Allows DSS to request that a peer  
        review panel, consisting of departmental representatives, a qualified  
        group home administrator, an experienced provider, and a member from a  
        placing agency, review group homes' plans of operation.  

9)  Requires group homes to develop a daily schedule of activities for the  
    children at the home and have the schedule available for inspection by  
    DSS.  Specifies that the activities must be designed to meet the needs of  
    the individual child based on his or her needs and services plan.   

10) Requires an annual independent financial and compliance audit of foster  










                                                                      SB 933  
                                                                     Page 18

    family agencies and group homes.  Allows DSS to determine the activities  
    included in the audit and the requirements to be reviewed during the  
    audit.      

    a)  Requires group home programs and foster family agencies, as a  
        condition to receiving a rate, to submit the audit to DSS. 
    
    b)  Specifies that the requirement for an independent financial and  
        compliance audit does not limit the authority of DSS or any county  
        that has a placement contract with foster family agencies or group  
        homes, to conduct their own audits.  Clarifies that if the independent  
        audit meets generally accepted auditing standards, additional audit  
        work done by DSS must build upon the work already done.  
    
    c)  Authorizes DSS to require repayment of moneys identified in the audit  
        report that were not expended in accordance with the law.   
    
    d)  Requires DSS to promulgate emergency regulations establishing a  
        process for group home programs serving 12 or fewer clients to receive  
        financial assistance in securing the annual audit.  

Comments:

1)  The portions of the recommendation related to implementation of the  
    live-scan technology were originally in AB 67, a 1997 budget trailer bill,  
    but were chaptered out inadvertently.

2)  The requirement for an FBI background check will impose new fiscal  
pressures on all categories of CCL-licensed facilities, many of which are  
already fiscally stretched and have high staff turnover rates (therefore  
requiring frequent fingerprint checks) due to the low salaries they pay.

3)  The child care and foster parent communities have expressed concerns over  
    their ability to absorb the costs of submitting a second set of  
    fingerprints for the FBI clearance. 

4)  It is unclear what is meant by "when live-scan is operational."   Are we  
    assured live-scan will be equally accessible in all parts of the state and  
    available to all potential employees of licensed facilities?

5)  Negotiations are continuing on the specific language requiring the  
    independent financial audit of group homes.  

  System Reform  :  

1)  Requires DSS to work with stakeholders to re-examine the role of  
    out-of-home placements currently available for children served within the  
    child welfare services system.  Specifies that the focus of the  
    re-examination is the role of group care within a family-based system of  
    care and that the process shall be based on empirical research and "best  
    practices" data.  

2)  Upon a determination of the role of group care, requires DSS to develop  










                                                                      SB 933  
                                                                     Page 19

    the related programmatic and administrative requirements for group care,  
    giving particular attention to the role of state licensing and the need  
    for new licensing categories.  

3)  Declares Legislative intent that licensing of group care should not be 
based on a one-size-fits-all model, rather that options should be made  
available to effectively serve children who pose a risk of flight or require  
treatment interventions currently not available.  Specifies the treatment  
interventions as:  locked perimeters, structured programs that permit  
different housing arrangements, clothing restrictions and visitation  
restrictions.  Allows DSS to promulgate emergency regulations if it determines  
that a new licensing category or categories is necessary.     
4)  Requires the Health and Welfare Agency (HWA) to develop a proposal,  
including a work plan and time frames to complete the re-examination process,  
and submit the proposal to the Legislature by February 1, 1999.
















































                                                                      SB 933  
                                                                     Page 20

  EXISTING LAW  :  

1)  Establishes a statewide foster care system of county-administered services  
and funding for children who have been removed from their homes by court  
order.  Children are eligible for payments and services until they turn 18 or  
graduate from high school.  

2)  Allows children who are wards of the court to access foster care services  
at the discretion of probation officers and judges.

3)  Establishes community care facilities, including group homes for children,  
to provide nonmedical care and supervision to vulnerable individuals.  

4)  Requires DSS to license and determine rates for group homes.  Rates for  
group homes for children are established according to a standardized schedule  
based on staffing levels and services provided.  

  FISCAL EFFECT  :

The Assembly Budget Committee allocated approximately $82.3 million to  
implement the group home task force recommendations.  The Senate Budget  
Committee allocated approximately $120 million. The Governor's Budget  
allocated $50 million for improvements to the child welfare services system.    


  REGISTERED SUPPORT / OPPOSITION  :

  Support  

County of Los Angeles Board of Supervisors
Santa Clara County Board of Supervisors

  Opposition  

None on file

  Analysis prepared by  :  Victoria Finkler and Eleanor Moses / ahumans
(916) 319-2247
29-Jun-1998 Mon 18:31
























                                                                     SB 933  
                                                                     Page 21

  ATTACHMENT  

WIC 16501.2

(a) The Legislature finds and declares all of the following:

    (1)  Safety, stability, and the permanence of families in the Child  
         Welfare System is of paramount importance.

    (2)  Ongoing assessments that build on the strength of the child and  
         family unit, and  that identify desired outcomes are critical in the  
         development of appropriate case plans for children.

    (3)  If it is necessary to place a child in out-of-home care, the use of a  
         formal child and family assessment can enhance the appropriateness of  
         placement and the identification and delivery of services necessary  
         to meet the child's needs and strengths, consistent with case plan  
         goals. 

(b) By  December 31, 1998 the department shall issue to all county placing  
agencies and the courts, current best practice guidelines for the assessment  
of a child and the child's family unit. The guidelines shall include  
recommended methods for gathering certain background information on the child  
and the child's family unit, identifying appropriate services for the case  
plan, and methods of monitoring and reassessing the case plan to best meets  
case plan goals.  For children placed in group homes or foster family  
agencies, the guidelines shall include methods for identifying appropriate  
placement options, and monitoring the services provided by  the group home or  
foster family agency to best address the strengths and needs of the child and  
the child's family unit. 
 
(c) The department shall conduct a pilot project to test the effectiveness of  
utilizing best practice standards for the assessment of children and families  
receiving child welfare and foster care services, for the purpose of  
identifying the strengths and needs of the family and the child, developing  
and monitoring appropriate case plans, and determining appropriate services.

    (1) By July 1, 1999 the department shall solicit participation in the  
        pilot by counties, and to the extent possible, provide for broad  
        geographical representation. By September 1, 1999 the department shall  
        select pilot counties and begin operation of the pilots.

    (2) The pilot shall  use an assessment protocol or process developed by  
        the department in collaboration with county agencies and other  
        stakeholders.  

    (3) The pilot shall be evaluated independently to judge the effectiveness  
    of  the assessment protocol or instrument, including whether the  
    assessment provides adequate background data on the child and the child's  
    family unit; improves achievement of case plan goals; is judged useful to  
    the counties and service providers, and can be applied with ease
 











                                                                      SB 933  
                                                                     Page 22

    (4) For children placed in group homes or foster family agencies, the  
    assessment instrument or process developed pursuant to subdivision c shall  
    identify the strengths and needs of the child to be met by the placement  
    program and methods for monitoring the delivery of services by the  
    placements agencies. 
 
    (5) The assessment shall be sensitive to the ethnic and linguistic  
    background of the children and families being assessed, and shall include,  
    but not be limited to the child's age, previous placement history and  
    specific indicators such as living situation, social, medical,  
    educational/vocational, emotional/behavioral, and legal cultural,  and  
    religious history; and, areas and activities of interest

(d) In collaboration with county agencies and other stakeholders, and based on  
    the results of the pilot project described in this section,  the  
    department shall develop a formal assessment process for children  
    receiving foster care and child welfare services.  By May 1, 2001  the  
    department shall inform the Legislature on the status of the pilot defined  
    in subsection c, and the proposed assessment instrument or process with  
    recommendations for its implementation, including incorporation of the  
    assessment process into the Child Welfare Services Case Management System.  


(e) Upon satisfactory completion of the pilot project described in this  
    section, and development of a formal assessment instrument or process, the  
    department in collaboration with representatives of county placing  
    agencies, training academies, and the California Social Work Education  
    Center, shall integrate training and technical assistance on the family  
    assessment guidelines into the curriculum of the Regional Training  
    Academies.      

                                                                6/29/98